患有慢性躯体疾病的儿童和青少年的学业、身体和社会功能：一项荟萃分析。
Academic, physical, and social functioning of children and adolescents with chronic physical illness: a meta-analysis.
机构信息
Department of Psychology, Philipps University, Marburg, Germany.
出版信息
J Pediatr Psychol. 2012 May;37(4):376-89. doi: 10.1093/jpepsy/jsr106. Epub 2011 Dec 15.
OBJECTIVE
We compared the levels of academic, physical, and social functioning of children and adolescents with chronic physical diseases with those of healthy peers or test norms.
METHODS
A random effects meta-analysis was computed to integrate the results of 954 studies.
RESULTS
Impairments of physical functioning (g = 0.82 standard deviation units) were stronger than impairments of academic (g = 0.53) and social functioning (g = 0.43). Children with cerebral palsy and spina bifida showed the largest levels of functional impairments. The levels of functional impairments also varied by year of publication, source of information, ethnicity, country, and sociodemographic equivalence of the compared groups.
CONCLUSIONS
More efforts are needed to develop and implement measures for the prevention of impaired functioning of children and adolescents with chronic physical illness and for the reduction of already existing impairments of their functioning.
目的
我们比较了患有慢性躯体疾病的儿童和青少年与健康同龄人和测试常模在学业、身体和社会功能方面的水平。
方法
采用随机效应荟萃分析整合了 954 项研究的结果。
结果
身体功能障碍（g=0.82 个标准差单位）的严重程度大于学业（g=0.53）和社会功能（g=0.43）障碍。脑瘫和脊柱裂患儿的功能障碍程度最大。功能障碍的程度还因发表年份、信息来源、种族、国家以及比较组的社会人口统计学等同性而有所不同。
结论
需要更多的努力来制定和实施措施，以预防慢性躯体疾病儿童和青少年的功能受损，并减少他们已经存在的功能障碍。
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